Psychiatric treatment may need to be modified in the medically ill because it may affect medical treatments and because of special features of the treatment setting. Co-operation between providers of mental and physical health care raises issues such as who takes primary responsibility and the need to enable professionals who are not specialists in mental health to undertake diagnosis and treatment. The present chapter focuses on medical patients in general hospitals or outpatient settings who suffer from the psychiatric consequences of medical illness or from both psychiatric and medical disorders.

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